Background Sexual health is one of the main areas of health and basic human rights which has been paid less attention in schizophrenia. Most studies have focused on sexual dysfunction rather than the sexual needs of people with schizophrenia. This study explores the sexual needs of people with schizophrenia and identify factors hindering sexual activities. Methods We carried out a qualitative study using a descriptive phenomenological approach. Data were collected at a psychiatric hospital in China. In total, 20 patients with schizophrenia were recruited through purposive sampling. Face to face semi-structured in-depth interviews were conducted with them. Interview recordings were transcribed by the research team, and transcripts were analyzed by two independent coders with Colaizzi’s descriptive analysis framework by using NVivo 11 software. The consolidated criteria for reporting qualitative research checklist was used for reporting. Results The data analysis revealed 10 subthemes categorized into 3 macro themes: (1) multiple barriers hinder sexual activity; (2) significance of sex; and (3) conditions for fulfilling sexual needs. Conclusion A poor sexual quality of life may be found in patients with schizophrenia. Furthermore, people with schizophrenia did not lose interest in maintaining an active sex life. Mental health services should address this issue in three areas: sexual knowledge, sexual space, and sexual objects.

No abstract

No abstract

An interaction and cognitive engagement-based blended teaching mode was applied to obstetrics and gynecology nursing course to examine the effects on nursing students’ competency, self-directed learning level. A randomized controlled trail design was designed. The experimental group engaged with the blended teaching, and the control group was assigned a usual teaching. The level of competency, self-directed learning was compared between two groups. The total score and scores of each dimension of core competence and self-induced learning ability in intervention group were all higher than those in control group (p < 0.05).

Purpose. Psychological resilience plays an important role in relieving the psychological distress. However, little is known about its underlying mechanisms. Mental health literacy, an important way to promote mental health, may mediate the effect of psychological resilience on psychological distress. This study aimed to explore the relationship between mental health literacy, psychological resilience, and psychological distress and explore the mediating effect between psychological resilience and psychological distress. Design and Methods. A cross-sectional study design was used. A total of 627 medical students were selected from one university. An electronic questionnaire was administered to collect information on the level of mental health literacy, psychological resilience, and psychological distress. Pearson’s correlation analysis was used in analyzing the relationship, and the Bootstrap method was used to test the mediating effects. Findings. Psychological distress significantly negatively correlated with mental health literacy and psychological resilience ( P < 0.001 ). The indirect effect of mental health literacy accounted for 50.43% of the total effect between psychological resilience and psychological distress. Practical Implication. Psychological resilience decreased the level of psychological distress, and this relationship was partially mediated by mental health literacy. These findings showed that efforts aimed at enhancing the mental health literacy may prevent or reduce the prevalence of psychological distress symptoms among college students.

Background: Hyperuricemia has become a threat to human health and a disease easily overlooked by the patient. The majority of patients often have the wrong health attitude and lack of health promotion behaviors. In this study, we explore the inner experience of young and middle-aged patients with hyperuricemia and gout and describe their health promoting behaviors in Northeast China. In order to improve their cognitive level, disease management ability, and finally provide a theoretical basis for comprehensive intervention.Methods: A qualitative research design was used to examine the illness perception and health promotion behavior of patients with hyperuricemia and gout in Northeast China. Thirteen young and middle-aged patients with hyperuricemia and gout were sampled with maximum variation in Daqing City and Haerbin City in Northeast China. The data analysis involved several levels of analysis consistent with qualitative research.Results: The following themes were relevant to young and middle-aged patients with hyperuricemia and gout in Northeast China: “Perception of hyperuricemia and gout”, “Health plan of hyperuricemia and gout”, “Poor treatment compliance” and “Utilization medical and health resources”.Conclusions: The respondents’ had insufficient cognition of hyperuricemia and low ability of health promotion. Medical staff should provide as much as possible to strengthen health promotion behavior of patients with interventions.

Background: Patients suffering from schizophrenia are at a higher risk of relapse. The perception of the risk of recurrence in patients with schizophrenia is critical for recurrence prevention. In the field of psychiatry, the study of risk perception of recurrence, has been neglected. Methods: We carried out a qualitative study using a descriptive phenomenological approach. Data were collected at twopsychiatric hospitals in China. In total, 22 patients with schizophrenia were recruited through purposive sampling. Face to face semi-structured in-depth interviews were conducted with them. Interview recordings were transcribed by the research team, and transcripts were analyzed by two independent coders with Colaizzi’s descriptive analysis framework. The consolidated criteria for reporting qualitative research checklist was used for reporting. Results: The data of first-episode schizophrenic patients yielded three themes: (i) lack of knowledge about disease recognition and medical treatment; (ii) overoptimistic estimation of the risk of recurrence; (iii) perceived importance of treatment. For first-recurrence schizophrenic patients : (i) initial awareness of relapse warning symptom; (ii) lack of systematic and accurate assessment of disease information; (iii) the perception of drug withdrawal is related to recurrence. Patients with multiple recurrences : (i) susceptibility to relapse: confusion and powerlessness; (ii) the severity of recurrence: suicidal thoughts and behavior; (iii) effects of perceived benefits and barriers on therapeutic behavior. Conclusions: In schizophrenic patients with first-episode, first-recurrence, and multiple recurrences, there were dynamic changes in the perception of disease recurrence risk and treatment behavior. Medical workers must improve risk awareness education. They should provide patients with scientific, accurate, and timely communication channels, and dynamically assess and manage the risk of recurrence in various patients.

No abstract